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Upper Valley Medical Center

Troy, OH · 178 beds · 88 procedures priced

Sourced from this hospital's machine-readable file, posted Fri Jun 05 2026 00:00:00 GMT+0000 (Coordinated Universal Time) · data quality 81/100 · source file ↗

Category

Procedure ▲	Negotiated i	Cash i	Gross i
Abdominal Hysterectomy	$7,853	—	—
ACL Reconstruction (Arthroscopic)	$13,382$7.1k$22k	—	—
Allergy Skin Testing	$892$842$2.6k	—	—
Basic Metabolic Panel	$10$7$26	$106	$106
Bone Marrow Biopsy	$4,067$1.6k$5.0k	$12,058	$12,058
Breast Biopsy (Ultrasound-guided)	$4,951$1.6k$5.0k	$5,476	$5,476
Bunion Correction Surgery	$7,853$3.2k$9.9k	—	—
Cardiac Ablation for Atrial Fibrillation	$25,616$16k$79k	$50,327	$50,327
Cardiac Catheterization (Left Heart)	$9,809$3.2k$10k	$33,339	$33,339
Carpal Tunnel Release Surgery	$5,908$1.9k$6.5k	—	—
Cataract Surgery with Lens Implant	$6,522$2.3k$7.0k	—	—
Cervical Spinal Fusion (Anterior)	$13,382$13k$39k	—	—
Chemotherapy Infusion (First Hour)	$343$324$999	$1,193	$1,193
Chest X-ray (2 Views)	$96$85$263	$765	$765
Colonoscopy with Biopsy	$3,621$1.2k$5.0k	—	—
Complete Abdominal Ultrasound	$129$102$316	$1,806	$1,806
Complete Blood Count (CBC) with Differential	$9$6$24	$137	$137
Comprehensive Metabolic Panel	$13$8$33	$152	$152
Coronary Angioplasty with Stent	$13,382$11k$35k	$39,598	$39,598
Critical Care, First Hour	$858$810$2.5k	$8,216	$8,216
CT Abdomen and Pelvis with Contrast	$436$342$1.1k	$3,941	$3,941
CT Cardiac Calcium Scoring	$96$78$263	$99	$99
CT Chest without Contrast	$129$102$326	$1,274	$1,274
CT Head without Contrast	$129$102$326	$1,396	$1,396
DEXA Bone Density Scan	$129$102$316	$1,057	$1,057
Diagnostic Colonoscopy	$2,814$911$5.0k	—	—
Diagnostic Mammogram (Both Breasts)	$134$101$312	$569	$569
Ear Tube Placement (Tympanostomy)	$4,695$1.5k$5.0k	—	—
Echocardiogram (Complete with Doppler)	$568$536$1.7k	$3,383	$3,383
Emergency Room Visit (Level 3)	$284$268$826	$1,812	$1,812
Group Therapy Session	—	$181	$181
Hemoglobin A1c (Diabetes Test)	$12$8$30	$135	$135
HIV Antibody Test	$11$7$27	$158	$158
Home Sleep Study	$224$212$653	$1,164	$1,164
Individual Therapy Session (45 Minutes)	$184$174$537	$502	$502
Inguinal Hernia Repair (Open)	$7,853$3.5k$11k	—	—
Initial Psychiatric Diagnostic Evaluation	$184$174$537	$725	$725
Initial Psychiatric Evaluation with Medication Management	$184$174$537	$725	$725
IUD Insertion	$2,304	$6,096	$6,096
IUD Removal	$922$299$2.3k	$331	$331
Knee Arthroscopy with Meniscectomy	$7,853$3.2k$9.9k	—	—
Laparoscopic Appendectomy	$13,382$5.9k$18k	—	—
Laparoscopic Gallbladder Removal	$13,382$5.9k$18k	—	—
Laparoscopic Tubal Ligation	$13,382$5.9k$18k	—	—
Lipid Panel (Cholesterol Test)	$16$11$41	$139	$139
Lumbar Epidural Steroid Injection	$2,136$692$4.1k	$2,978	$2,978
Lumbar Puncture (Spinal Tap)	$2,136$692$4.1k	$8,029	$8,029
Lumbar Spinal Fusion (Posterior)	$17,184$13k$53k	—	—
Lumpectomy (Partial Mastectomy)	$6,522$3.8k$12k	—	—
MRI Abdomen with and without Contrast	$436$342$1.1k	$3,400	$3,400
MRI Brain with and without Contrast	$436$342$1.1k	$3,687	$3,687
MRI Brain with Contrast	$436$342$1.1k	$3,687	$3,687
MRI Brain without Contrast	$273$234$722	$2,220	$2,220
MRI Cervical Spine (Neck) without Contrast	$273$234$722	$2,220	$2,220
MRI Knee without Contrast	$273$234$722	$3,071	$3,071
MRI Lower Back (Lumbar Spine) without Contrast	$273$234$722	$2,048	$2,048
MRI Thoracic Spine (Mid-back) without Contrast	$273$234$722	$2,048	$2,048
Newborn Circumcision	$6,325$2.0k$6.5k	—	—
Nuclear Cardiac Stress Test	$1,548$1.1k$3.9k	$6,194	$6,194
Office Visit, Established Patient (Level 3)	$208	$294	$294
Office Visit, New Patient (Level 3)	$450	$321	$321
Pacemaker Insertion (Dual Chamber)	$16,056$10k$32k	$50,327	$50,327
PET/CT Scan, Whole Body	$1,753$1.4k$4.3k	$8,160	$8,160
Pregnancy Ultrasound (Second or Third Trimester)	$129$102$316	$1,806	$1,806
Prostate Biopsy	$4,951	—	—
PSA Prostate Cancer Screening	$22$15$57	$260	$260
Pulmonary Function Test with Bronchodilator	$388$366$1.1k	$735	$735
Rotator Cuff Repair (Arthroscopic)	$13,382$7.1k$22k	—	—
Screening Mammogram	$111$83$257	$420	$420
Septoplasty (Deviated Septum Repair)	$6,522$3.2k$10k	—	—
Sinus Surgery (Endoscopic, with Tissue Removal)	$7,853$6.9k$21k	—	—
Skin Biopsy (Tangential)	$1,230$398$2.3k	$863	$863
Skin Lesion Removal (Benign, up to 0.5 cm)	$4,067$1.6k$5.0k	—	—
Sleep Study (In-lab Polysomnography)	$892$842$2.6k	$4,840	$4,840
Spinal Cord Stimulator Trial	$13,382$6.2k$19k	$11,452	$11,452
Spirometry (Breathing Test)	$224$212$653	$490	$490
Tonsillectomy and Adenoidectomy (Age 12 and Over)	$6,522$3.2k$10k	—	—
Tonsillectomy and Adenoidectomy (Under Age 12)	$6,522$5.8k$18k	—	—
Total Hip Replacement	$16,745$13k$39k	—	—
Total Knee Replacement	$16,745$13k$39k	—	—
Total Mastectomy	$7,853$6.5k$20k	—	—
TSH Thyroid Function Test	$20$13$52	$237	$237
TURP (Transurethral Prostate Resection)	$10,075$5.3k$16k	—	—
Upper GI Endoscopy (EGD)	$2,744$889$5.0k	—	—
Urinalysis with Microscopy	$4$3$10	$45	$45
Vaginal Hysterectomy	$7,853$4.9k$15k	—	—
Vasectomy	$6,325$2.0k$6.5k	—	—
Vitamin D Blood Test	$36$24$91	$417	$417

Median facility price per procedure. Negotiated shows the median across payers with the full range. Figures as reported in the hospital's file — not a quote.